Provider Demographics
NPI:1225086952
Name:ANDREWS, TAWNDA RAE (DC)
Entity Type:Individual
Prefix:DR
First Name:TAWNDA
Middle Name:RAE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TAWNDA
Other - Middle Name:RAE
Other - Last Name:VOLKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:285 SAINT ANDREWS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-8670
Mailing Address - Country:US
Mailing Address - Phone:507-345-1926
Mailing Address - Fax:507-345-1750
Practice Address - Street 1:285 SAINT ANDREWS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8670
Practice Address - Country:US
Practice Address - Phone:507-345-1926
Practice Address - Fax:507-345-1750
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN365410900Medicaid
MN83353VOOtherBLUE CROSS BLUE SHIELD
MN83353VOOtherBLUE CROSS BLUE SHIELD
350003110Medicare ID - Type Unspecified